Total Shoulder Replacement Surgery
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A total shoulder replacement can help increase your range of motion and relieve pain from arthritis, fractures and rotator cuff tears. If nonsurgical treatments like physical therapy and medications don't provide relief, you may need replacement surgery.
Our surgeons at the University of Maryland Orthopaedics will help you determine if surgery should be your next option and whether you would benefit from reverse shoulder replacement.
Who Needs Total Shoulder Replacement
If you have daily pain in your shoulder that prevents you from performing normal activities, or if you've had significant damage to your shoulder from a trauma, you may need shoulder replacement surgery.
You may feel a consistent grinding sensation in your shoulder, and have difficulty reaching up.
Conditions which could require total replacement include:
What to Expect From Surgery
You will have general or regional anesthesia and be asleep for this surgery. We remove your damaged shoulder socket and replace it with a plastic socket. Next, we remove the ball from the top of your upper forearm bone, the humerus, and replace it with a metal ball and stem. The stem fits into your arm bone, and the ball fits into the shoulder socket. The surgery takes about 2 1/2 hours.
Rapid Recovery and Rehabilitation
We will immobilize your arm for 6 weeks after surgery. Your recovery team will show you how to manage swelling and pain. You will use your arm for activities like eating and brushing your teeth starting the morning after surgery. The hospital stay is typically one night although a large percentage of patients go home the same day.
During your first eight weeks at home, you will do exercises to improve motion. Your physical therapist will gradually add exercises to strengthen muscles.
You should be able to eat, dress and do most daily activities within the first week or two of surgery. Full recovery takes about four to six months.